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The Literature Collection contains over 10,000 references for published and grey literature on the integration of behavioral health and primary care. Learn More
Use the Search feature below to find references for your terms across the entire Literature Collection, or limit your searches by Authors, Keywords, or Titles and by Year, Type, or Topic. View your search results as displayed, or use the options to: Show more references per page; Sort references by Title or Date; and Refine your search criteria. Expand an individual reference to View Details. Full-text access to the literature may be available through a link to PubMed, a DOI, or a URL. References may also be exported for use in bibliographic software (e.g., EndNote, RefWorks, Zotero).
10858 Results
1004
An EHR-based paradigm shift in the operation of mental health and addiction services
Type: Journal Article
Year: 2009
Publication Place: Netherlands
Abstract: This paper responds to a commonly expressed belief, or perhaps hope, that full implementation of the electronic health record (EHR) will promote a "paradigm shift" in the delivery of health services, enhancing both service system efficiency and effectiveness in ways that would not have otherwise been possible. A model is proposed that defines stages in the development of the EHR in terms of two sets of functional components: 1) information management tools used to support the delivery of care; and 2) decision support tools that use information drawn from the EHR to promote functional integration among the components of complex service systems. "Paradigm shift" is defined operationally within this framework in terms of evolution of the EHR through these stages. The concept of "clinical interoperability" (anchored in a semantically interoperable EHR) is elaborated upon and presented as the sine qua non for a distinctive form of paradigm change that centres on support for care delivery within any given location in the system, and on EHR-based support for client movement through the system. The Vancouver Island Health Authority/Infoway Bridges, now deployed across the full array of hospital and community-based mental health and addiction services, is an example of an EHR that leverages the semantically interoperable components of an EHR to support a paradigm shift in clinical interoperability for the mental health and addictions service system.
Topic(s):
HIT & Telehealth
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Reference Links: View the PubMed citation for An EHR-based paradigm shift in the operation of mental health and addiction services
1005
An electronic health record-based intervention to improve tobacco treatment in primary care: a cluster-randomized controlled trial
Type: Journal Article
Year: 2009
Publication Place: United States
Abstract: BACKGROUND: To improve the documentation and treatment of tobacco use in primary care, we developed and implemented a 3-part electronic health record enhancement: (1)smoking status icons, (2) tobacco treatment reminders, and (3) a Tobacco Smart Form that facilitated the ordering of medication and fax and e-mail counseling referrals. METHODS: We performed a cluster-randomized controlled trial of the enhancement in 26 primary care practices between December 19, 2006, and September 30, 2007. The primary outcome was the proportion of documented smokers who made contact with a smoking cessation counselor. Secondary outcomes included coded smoking status documentation and medication prescribing. RESULTS: During the 9-month study period, 132 630 patients made 315 962 visits to study practices. Coded documentation of smoking status increased from 37% of patients to 54% (+17%) in intervention practices and from 35% of patients to 46% (+11%) in control practices (P < .001 for the difference in differences). Among the 9589 patients who were documented smokers at the start of the study, more patients in the intervention practices were recorded as nonsmokers by the end of the study (5.3% vs 1.9% in control practices; P < .001). Among 12 207 documented smokers, more patients in the intervention practices made contact with a cessation counselor (3.9% vs 0.3% in control practices; P < .001). Smokers in the intervention practices were no more likely to be prescribed smoking cessation medication (2% vs 2% in control practices; P = .40). CONCLUSION: This electronic health record-based intervention improved smoking status documentation and increased counseling assistance to smokers but not the prescription of cessation medication.
Topic(s):
HIT & Telehealth
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1007
An electronic linkage system for health behavior counseling effect on delivery of the 5A's
Type: Journal Article
Year: 2008
Publication Place: Netherlands
Abstract: BACKGROUND: A variety of factors limit the ability of clinicians to offer intensive counseling to patients with unhealthy behaviors, and few patients (2%-5%) are referred to the community counseling resources that do offer such assistance. A system that could increase referrals through an efficient collaborative partnership between community programs and clinicians could have major public health implications; such was the subject of this feasibility evaluation. METHODS: At nine primary care practices, an electronic linkage system (eLinkS) was instituted to promote health behavior counseling and to automate patient referrals to community counseling services. Patients were offered 9 months of free counseling for weight loss, smoking cessation, and problem drinking at a choice of venues: group counseling, telephone counseling, computer care, and usual care. The delivery of behavioral counseling, measured by the 5A's (ask, address, advise, assess, agree, arrange) and patients' reported experiences with eLinkS, was examined. RESULTS: For 5 weeks eLinkS was used, until high referral volumes depleted counseling funds. Of the 5679 patients visiting the practices, 71% had an unhealthy behavior. Of these patients, 10% were referred for intensive counseling from a community program, most often for weight loss. Counseling and referrals occurred regardless of visit type--wellness, acute, or chronic care. eLinkS was used more often for middle-aged adults and women and by more-experienced clinicians. CONCLUSIONS: The intervention increased the rate at which patients were referred for intensive behavioral counseling compared to current practice norms. Given the evidence that intensive counseling is more effective in promoting behavior change, implementing eLinkS could have substantial public health benefits.
Topic(s):
HIT & Telehealth
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Reference Links:
View the DOI record for An electronic linkage system for health behavior counseling effect on delivery of the 5A's
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View the PubMed citation for An electronic linkage system for health behavior counseling effect on delivery of the 5A's1008
An Emerging Paradigm for Psychiatric Practice in Integrated Care Amidst a Crisis
Type: Journal Article
Year: 2020
Topic(s):
Education & Workforce
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, Healthcare Disparities
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Reference Links:
View the DOI record for An Emerging Paradigm for Psychiatric Practice in Integrated Care Amidst a Crisis
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View the PubMed citation for An Emerging Paradigm for Psychiatric Practice in Integrated Care Amidst a Crisis1009
An enhanced primary health care role following psychological trauma: the Christchurch earthquakes
Type: Journal Article
Year: 2011
Publication Place: New Zealand
Abstract: Following the February 2011 earthquake in Christchurch, New Zealand (NZ), the authors participated in counselling local residents, and debriefing and supervising support teams. Indications were that risk for mental health disorders, including Post-Traumatic Stress Disorder (PTSD), may be elevated in residents, and that this risk may continue for some time. Patients may be de-prioritising their mental health issues when these become normalised throughout the city's population. The authors recommend that primary care patients are assessed using a brief, comprehensive tool (for example, the Case-finding and Help Assessment Tool) that targets many health and behavioural issues identified as increasing in the city following the earthquake. Anxiety and mood disorder symptoms may indicate assessment is appropriate to reduce harm arising from increased risk for PTSD. Concern also is raised for primary health care providers who may have experienced the trauma and additionally may be vicariously affected by patients' reported trauma.
Topic(s):
General Literature
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Reference Links: View the PubMed citation for An enhanced primary health care role following psychological trauma: the Christchurch earthquakes
1010
An environmental scan of impacts and interventions for women with methamphetamine use in pregnancy and their children
Type: Journal Article
Year: 2021
Publication Place: United States
Topic(s):
Healthcare Disparities
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, Opioids & Substance Use
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Reference Links:
View the DOI record for An environmental scan of impacts and interventions for women with methamphetamine use in pregnancy and their children
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View the PubMed citation for An environmental scan of impacts and interventions for women with methamphetamine use in pregnancy and their children1011
An Epidemic in the Midst of a Pandemic: Opioid Use Disorder and COVID-19
Type: Journal Article
Year: 2020
Abstract:
The COVID-19 pandemic is a particularly grave risk to the millions of Americans with opioid use disorder, who—already vulnerable and marginalized—are heavily dependent on face-to-face health care delivery. These authors propose rapid and coordinated action on the part of clinicians and policymakers to mitigate risks of disrupted care for these patients.
Topic(s):
Education & Workforce
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, Healthcare Disparities
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Reference Links:
View the DOI record for An Epidemic in the Midst of a Pandemic: Opioid Use Disorder and COVID-19
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View the PubMed citation for An Epidemic in the Midst of a Pandemic: Opioid Use Disorder and COVID-191013
An ethical analysis of medication treatment for opioid use disorder (MOUD) for persons who are incarcerated
Type: Journal Article
Year: 2020
Publication Place: United States
Abstract:
Opioid use disorder (OUD) is highly prevalent among persons who are incarcerated. Medication treatment for opioid use disorder (MOUD), methadone, buprenorphine, and naltrexone, is widely used to treat OUD in the community. Despite MOUD's well-documented effectiveness in improving health and social outcomes, its use in American jails and prisons is limited.Several factors are used to justify limited access to MOUD in jails and prisons including: "uncertainty" of MOUD's effectiveness during incarceration, security concerns, risk of overdose from MOUD, lack of resources and institutional infrastructure, and the inability of people with OUD to provide informed consent. Stigma regarding MOUD also likely plays a role. While these factors are relevant to the creation and implementation of addiction treatment policies in incarcerated settings, their ethicality remains underexplored.Using ethical principles of beneficence/non-maleficence, justice, and autonomy, in addition to public health ethics, we evaluate the ethicality of the above list of factors. There is a two-fold ethical imperative to provide MOUD in jails and prisons. Firstly, persons who are incarcerated have the right to evidence-based medical care for OUD. Secondly, because jails and prisons are government institutions, they have an obligation to provide that evidence-based treatment. Additionally, jails and prisons must address the systematic barriers that prevent them from fulfilling that responsibility. According to widely accepted ethical principles, strong evidence supporting the health benefits of MOUD cannot be subordinated to stigma or inaccurate assessments of security, cost, and feasibility. We conclude that making MOUD inaccessible in jails and prisons is ethically impermissible.
Topic(s):
Healthcare Disparities
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, Opioids & Substance Use
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Reference Links:
View the DOI record for An ethical analysis of medication treatment for opioid use disorder (MOUD) for persons who are incarcerated
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View the PubMed citation for An ethical analysis of medication treatment for opioid use disorder (MOUD) for persons who are incarcerated1014
An evaluation of a computer based education program for the diagnosis and management of dementia in primary care. An international study of the transcultural adaptations necessary for European dissemination
Type: Journal Article
Year: 2009
Publication Place: England
Abstract: OBJECTIVES: The aim of this study is to make an inventory of the changes that are needed to make an interactive computer based training program (ICBT) with a specific educational content, acceptable to professional communities with different linguistic,cultural and health care backgrounds in different European countries. METHODS: Existing educational software, written in two languages was reviewed by GPs and primary care professionals in three different countries. Reviewers worked through the program using a structured critical reading grid. RESULTS: A 'simple' translation of the program is not sufficient. Minor changes are needed to take account of linguistic differences and medical semantics. Major changes are needed in respect of the existing clinical guidelines in every country related to differences in the existing health care systems. CONCLUSIONS: ICTB programs cannot easily be used in different countries and cultures. The development of a structured educational program needs collaboration between educationalists, domain experts, information technology advisers and software engineers. Simple validation of the content by local expert groups will not guarantee the program's exportability. It is essential to involve different national expert groups at every phase of the development process in order to disseminate it in other countries.
Topic(s):
HIT & Telehealth
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1016
An evaluation of an Australian initiative designed to improve interdisciplinary collaboration in primary mental health care
Type: Journal Article
Year: 2014
Topic(s):
Education & Workforce
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1017
An evaluation of education and implementation of psychosocial interventions within one UK mental healthcare trust
Type: Journal Article
Year: 2008
Publication Place: England
Abstract: Psychosocial interventions (PSI), though recommended in the NICE guidelines for schizophrenia and bipolar affective disorder, are not routinely available to people with a serious mental illness in the UK. Education and training initiatives to equip mental health professionals with skills in PSI have grown over the last decade; yet the literature indicates serious problems in implementation of PSI in routine service provision. This paper examines on a local level the factors which support and limit the education and practice of PSI in one UK mental healthcare trust. It reports on a survey of trainees and their managers which aims to evaluate the impact of a PSI training programme and practice development strategy on staff, managers and service provision. The key findings are: a high rate of implementation of PSI by PSI-trained staff in the Trust; a strong association between PSI training and career progression for staff; and the support mechanisms which are most effective in the education and implementation of PSI. The paper concludes that certain measures and support mechanisms have facilitated the successful implementation of PSI with positive outcomes for staff and service provision. Further recommendations are made identifying measures which facilitate the implementation of PSI through an integrated education and practice development strategy owned by all stakeholders.
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for An evaluation of education and implementation of psychosocial interventions within one UK mental healthcare trust
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View the PubMed citation for An evaluation of education and implementation of psychosocial interventions within one UK mental healthcare trust1020
An evaluation of practice-based interprofessional education initiatives involving service users
Type: Journal Article
Year: 2011
Publication Place: England
Abstract: There is little published evidence regarding the impact of service-user focused interprofessional education in the practice setting. This article reports evaluative case studies of two practice-based interprofessional initiatives, in which service users played a central role. These initiatives formed part of the Trent Universities Interprofessional Learning in Practice (TUILIP) project ( http://tuilip.hwb.shu.ac.uk ), a collaboration between Sheffield Hallam University and the University of Nottingham. Practice settings were an acute mental health service and a community organisation offering care and services to adults with learning disabilities. Interprofessional initiatives were developed by facilitators, and empirically studied at each site. Facilitators, managers, practitioners, students and service users took part in interviews and focus groups to discuss their perceptions of the initiative in their practice setting. The study revealed participants' perceptions of the projects' aims, process and outcomes, factors which facilitated success or proved challenging, and their impact upon individuals, clinical practice and the organisations involved.
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for An evaluation of practice-based interprofessional education initiatives involving service users
View DOI Record
View the PubMed citation for An evaluation of practice-based interprofessional education initiatives involving service users